discharge of patients.pptx
- 1. DISCHARGE OF A PATIENT Presented by: Mr. Gaurav M. Gawali Bsc.nursing MUHS, Nashik.
- 2. DISCHARGE OF APATIENT OBJECTIVES:- 1. Introduction to the topic. 2. Meaning of the key terms. 3. Circumstances in which the patient can be discharge. 4. Steps of discharge. 5. Nurses responsibility.
- 3. DEFINITION OF DISCHARGE OF A PATIENT FROM HIOSPITAL “Discharge of patient from the hospital means, reliving a person from hospital setting, who admitted as an inpatient in that hospital”
- 4. TYPES OF DISCHARGE 1. Planned discharge:-patient completes the initial, actual management in the hospital and now he or she need not to be under direct supervision of that hospital.’ 2. Dama.:- Discharge against medical advice (DAMA) is not an uncommon request from family members of patients in Indian Critical Care Units (CCU). Patients who leave against medical advice are both a challenge and concern for physicians
- 5. STEPS OF PLANNED DISCHARGE 1. Written order by doctor. 2. Discharge card. 3. Informing other departments. 4. Check payment of the bills. 5. Hospital glossaries taken back. 6. Returning of the personal belongings. 7. Arrangement for transport. 8. Documentation.
- 6. STEPS OF DAMA “IAM LEAVING THE HOSPITAL WARD AGAINST MEDICAL ADVICE. DOCTOR EXPLAINED ME ABOUT MY DISEASE CONDITION AND ILL EFFECTS OF DISCHARGE AGAINST MEDICAL ADVICE. DOCTORS, HOSPITAL AND STAFFS WILL NOT BE RESPONSIBLE FOR ANY ILL EFFECTS HAPPENING AFTER MY DEPARTURE”. Name of the patient / relative :- Relation:- Signature:- Date :- Time:-
- 7. NURSE’S RESPONSIBILITY IN DISCHARGE PROCEDURE PREPARATION FOR DISCHARGE Planning in the beginning. Plan for rehabilitation and follo-up need. Teach nursing procedures to be continued at home, get it’s practice done. Arrangement for transport.
- 8. DURING PROCEDURE:- 1. See doctor’s written order. 2. Explanations. 3. Hand over personal belongings. 4. Check and receive any hospital property. 5. Confirm bill paid. 6. Inform other departments regarding discharge. 7. Arrange transport. 8. Dama :-check consent
- 9. AFTER DISCHARGE 1. Documentation. 2. Care of patient’s room and articles.
- 10. NURSE’S RESPONSIBILITY IN MEDICO- LEGAL DISCHARGE PROCEDURE 1. CHECK FOR MEDICO LEGAL HISTORY. 2. NOTIFY MEDICAL OFFICER INCHARGE. 3. ABVSOND CASES IMMEDIATELY CONTCT MEDICAL OFFICER INCHARGE. 4. MAINTAIN ALL DOCUMENTS INAPROPERB MANNER. 5. TAKE IN WRITTEN HANDING OVER AND TAKING OF ARTICLES. 6. NEVER DISCHRGE PATIENT WITHOUT WRITTEN ORER BY PHYSICIAN.
- 11. CHECK LIST 1. M 2. E 3. T 4. H 5. O 6. D
- 12. 1. M=MEDICATION 2. E=ENVIRONMENT 3. T=TREATEMENT 4. H=HEALTH TEACHING 5. O=OUT PATIENT REFFERAL 6. D=DIET
- 13. THANK YOU